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KENDRA E THIBEAULT FNP-BC
NPI 1912668138
Physician Assistant in Manchester, NH

Active since January 10, 2022PECOS EnrolledAccepts Medicare Assignment
100 HITCHCOCK WAY # 3104000, MANCHESTER, NH 03104(603) 226-9000(603) 640-1228 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 12, 2026, Dec 12, 2024, Nov 8, 2024 and 3 more (6 updates tracked since 2022).

About Kendra E Thibeault Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDRA E THIBEAULT FNP-BC (NPI 1912668138) is an individual physician assistant in Manchester, New Hampshire, licensed in New Hampshire (1872) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1912668138
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKENDRA E THIBEAULTCredential: FNP-BC
Location Address100 HITCHCOCK WAY # 3104000Manchester, NH 03104-4125
Mailing AddressPo Box 810Hanover, NH 03755-0810 · (603) 308-1467
Phone(603) 226-9000
Fax(603) 640-1228
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 10, 2022
Last NPPES UpdateJanuary 12, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1912668138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NH · 1872
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 HITCHCOCK WAY # 3104000, Manchester, NH 03104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kendra E Thibeault Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426434804
PECOS Enrollment IDI20221010000123
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services41 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
24 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services20 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
19 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. EMILY ROSE WEBB APRN
Nurse Practitioner
100 HITCHCOCK WAY # 3104000
MANCHESTER, NH 03104
Hillsborough County (603) 695-2500
TORI THOMPSON RD
Dietitian, Registered (Nutrition, Pediatric)
100 HITCHCOCK WAY # 3104000
MANCHESTER, NH 03104
Hillsborough County (603) 695-2500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendra Thibeault's NPI number?

The NPI number for Kendra Thibeault is 1912668138. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Where is Kendra Thibeault located?

Kendra Thibeault practices at 100 Hitchcock Way # 3104000, Manchester, NH 03104. The listed phone number is (603) 226-9000.

What is Kendra Thibeault's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kendra Thibeault enrolled in Medicare?

Yes. Kendra Thibeault is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kendra Thibeault affiliated with any hospitals?

According to CMS data, Kendra Thibeault is affiliated with Mary Hitchcock Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kendra Thibeault was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.